Imaging prices at Jersey Community Hospital
Jerseyville, IL · every code in this section with a posted price and a Medicare benchmark.
253 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $493 | $493 | 5.3× |
| Abdomen 2 views (74019) | $694 | $694 | 6.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,377 | $1,377 | 3.2× |
| Ankle 2 views (73600) | $493 | $493 | 5.3× |
| Arthrogram ankle (73615) | $2,142 | $2,142 | 5.7× |
| Arthrogram hip (73525) | $2,142 | $2,142 | 5.7× |
| Arthrogram Wrist (73115) | $2,142 | $2,142 | 5.7× |
| Bone age studies (77072) | $629 | $629 | 5.6× |
| Bone Imaging 3 Phase (78315) | $1,377 | $1,377 | 3.2× |
| Bone Imaging Limited Area (78300) | $1,377 | $1,377 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,731 | $1,731 | 4.0× |
| Bone survey infant (77076) | $629 | $629 | 5.6× |
| Cerebrospinal Fluid Scan (78630) | $2,160 | $2,160 | 3.7× |
| Chest 1 view (71045) | $449 | $449 | 4.8× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$449–$493 | $449–$493 | varies |
| Chest 3 views (71047) | $449 | $449 | 4.8× |
| Chest 4 or more views (71048) | $629 | $629 | 5.6× |
| Clavicle complete (73000) | $493 | $493 | 5.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,197 | $1,197 | 10.7× |
| Contrast X-Ray Bladder (74430) | $1,928 | $1,928 | 5.2× |
| Contrast X-Ray Of Elbow (73085) | $2,142 | $2,142 | 5.7× |
| Contrast X-Ray Of Knee Joint (73580) | $2,142 | $2,142 | 5.7× |
| CT abdomen and pelvis without and with contrast (74178) | $6,481 | $6,481 | 17.3× |
| CT abdomen and pelvis without contrast (74176) | $3,835 | $3,835 | 15.0× |
| CT abdomen w contrast (74160) | $2,533 | $2,533 | 13.5× |
| CT abdomen w wo contrast (74170) | $3,000 | $3,000 | 16.0× |
| CT abdomen w/o contrast (74150) | $1,678 | $1,678 | 15.0× |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$310–$5,140 | $310–$5,140 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$2,609–$2,726 | $2,609–$2,726 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,320–$2,533 | $2,320–$2,533 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,533–$4,849 | $2,533–$4,849 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$247–$2,533 | $247–$2,533 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,839 | $3,839 | 20.4× |
| CT cervical spine w/ contrast (72126) | $2,072 | $2,072 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,762 | $1,762 | 15.7× |
| CT cervical spine w/wo cont (72127) | $2,989 | $2,989 | 15.9× |
| CT chest w contrast (71260) | $2,726 | $2,726 | 14.5× |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$165–$3,867 | $165–$3,867 | varies |
| CT head/brain with contrast (70460) | $2,454 | $2,454 | 13.1× |
| CT head/brain without and with contrast (70470) | $2,726 | $2,726 | 14.5× |
| CT iac w contrast (70481) | $2,454 | $2,454 | 13.1× |
| CT l-spine w&w/o contrast (72133) | $2,989 | $2,989 | 15.9× |
| CT lower ext w/o (73700) | $1,678 | $1,678 | 15.0× |
| CT lower extremity w/contrast material (73701) | $2,454 | $2,454 | 13.1× |
| CT lumbar spine w contrast (72132) | $2,072 | $2,072 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,762 | $1,762 | 15.7× |
| CT maxillofacial w contrast (70487) | $2,726 | $2,726 | 14.5× |
| CT maxillofacial wo contrast (70486) | $1,844 | $1,844 | 16.5× |
| CT neck tissue combo (70492) | $3,000 | $3,000 | 16.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,867 | $3,867 | 20.6× |
| CT orbits w/o contrast (70480) | $1,678 | $1,678 | 15.0× |
| CT pelvis w&w/o contrast (72194) | $3,000 | $3,000 | 16.0× |
| CT pelvis w/o contrast (72192) | $1,509 | $1,509 | 13.5× |
| CT scan of leg combo (73702) | $2,726 | $2,726 | 14.5× |
| CT scans face/jaw combo (70488) | $2,945 | $2,945 | 15.7× |
| CT soft tissue neck w contrast (70491) | $2,726 | $2,726 | 14.5× |
| CT soft tissue neck w/o contrast (70490) | $1,844 | $1,844 | 16.5× |
| CT thoracic spine w contrast (72129) | $2,072 | $2,072 | 11.0× |
| CT thoracic spine w/o contrast (72128) | $1,762 | $1,762 | 15.7× |
| CT thoracic spine w/wo cont (72130) | $2,989 | $2,989 | 15.9× |
| CT thorax w/o contrast (71250) | $1,678 | $1,678 | 15.0× |
| CT upper ext wo (73200) | $1,678 | $1,678 | 15.0× |
| CT upper extremity w/o & w/contrast material (73202) | $3,839 | $3,839 | 20.4× |
| CT upper extremity with contrast (73201) | $3,335 | $3,335 | 8.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,533 | $2,533 | 13.5× |
| Cta Abdomen (74175) | $3,000 | $3,000 | 16.0× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$165–$12,201 | $165–$12,201 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$120–$12,201 | $120–$12,201 | varies |
| Dxa Bone Density Axial (77080) | $694 | $694 | 6.2× |
| Echo exam uterus (76831) | $1,378 | $1,378 | 5.4× |
| Esophagram (74220) | $1,125 | $1,125 | 6.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,070 | $1,070 | 9.6× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$1,318–$1,439 | $1,318–$1,439 | varies |
| Foot 2 views (73620) | $493 | $493 | 5.3× |
| Forearm 2 views (73090) | $493 | $493 | 5.3× |
| Gastric emptying imaging study (78264) | $1,534 | $1,534 | 3.6× |
| Gated Heart Planar Single (78472) | $2,009 | $2,009 | 4.7× |
| Gated Heart, Multiple (78473) | $1,377 | $1,377 | 3.2× |
| Hand 2 views (73120) | $694 | $694 | 6.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,766 | $1,766 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,377 | $1,377 | 3.2× |
| Ht Musc Image Planar Mult (78454) | $4,758 | $4,758 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $4,758 | $4,758 | 3.4× |
| Hysterosalpingogram (74740) | $1,439 | $1,439 | 5.6× |
| K Flow/Funct Image Multiple (78709) | $1,766 | $1,766 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $1,766 | $1,766 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,377 | $1,377 | 2.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,377 | $1,377 | 3.2× |
| Kidney Imaging Morphol (78700) | $2,113 | $2,113 | 4.9× |
| Knee 3 Views (73562) | $493 | $493 | 5.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,377 | $1,377 | 3.2× |
| Liver imaging static only (78201) | $4,758 | $4,758 | 8.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,766 | $1,766 | 3.0× |
| Lung Ventilation Imaging (78579) | $1,377 | $1,377 | 3.2× |
| Lymph System Imaging (78195) | $1,766 | $1,766 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $1,845 | $1,845 | 7.2× |
| Mammary ductogram or galactogram multiple (77054) | $1,309 | $1,309 | 5.1× |
| Meckels Divert Exam (78290) | $1,377 | $1,377 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,763 | $1,763 | 4.7× |
| MRA head w/o contrast (70544) | $1,828 | $1,828 | 7.1× |
| MRA head with contrast (70545) | $1,632 | $1,632 | 4.4× |
| MRA neck w contrast (70548) | $1,632 | $1,632 | 4.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,040 | $3,040 | 8.1× |
| MRA neck w/o contrast (70547) | $1,632 | $1,632 | 6.4× |
| MRI abdomen w contrast (74182) | $3,646 | $3,646 | 9.8× |
| MRI abdomen w/o contrast (74181) | $1,828 | $1,828 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,760 | $2,760 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$3,489–$3,646 | $3,489–$3,646 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,646 | $3,646 | 4.3× |
| MRI cervical spine w contrast (72142) | $2,064 | $2,064 | 5.5× |
| MRI cervical spine w/o cont (72141) | $1,828 | $1,828 | 7.1× |
| MRI chest w/o contrast (71550) | $1,661 | $1,661 | 6.5× |
| MRI chest with contrast (71551) | $2,760 | $2,760 | 3.3× |
| MRI chest wo w contrast (71552) | $3,363 | $3,363 | 9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,875 | $1,875 | 5.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,040 | $3,040 | 8.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,828 | $1,828 | 7.1× |
| MRI lumbar spine w contrast (72149) | $2,064 | $2,064 | 5.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,040 | $3,040 | 8.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,828 | $1,828 | 7.1× |
| MRI orbit face neck w contrast (70542) range across 5 matching MRF lines |
$1,828–$2,258 | $1,828–$2,258 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,040 | $3,040 | 8.1× |
| MRI pelvis w contrast (72196) | $1,862 | $1,862 | 5.0× |
| MRI pelvis w/o & w contrast (72197) | $3,362 | $3,362 | 9.0× |
| MRI pelvis w/o contrast (72195) | $1,828 | $1,828 | 7.1× |
| MRI thoracic spine w/o contrast (72146) | $1,828 | $1,828 | 7.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,853 | $2,853 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,195 | $2,195 | 8.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,853 | $2,853 | 7.6× |
| MRI, abdomen, combo (74183) | $3,040 | $3,040 | 8.1× |
| MRI, dorsal spine combo (72157) | $3,040 | $3,040 | 8.1× |
| MRI, dorsal spine contrast (72147) | $2,064 | $2,064 | 5.5× |
| MRI, joint upper extrem (73221) | $2,195 | $2,195 | 8.6× |
| MRI, joint upper extrem combo (73223) | $3,646 | $3,646 | 9.8× |
| MRI, lumbar spine combo (72158) | $3,040 | $3,040 | 8.1× |
| Myelogram Lumbar (72265) | $3,819 | $3,819 | 4.5× |
| Myelograpy 2/more regions rs&i (72270) | $3,819 | $3,819 | 4.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,377 | $1,377 | 3.2× |
| Myocardial Spect Multiple Studies (78452) | $4,758 | $4,758 | 3.4× |
| Neck soft tissue (70360) | $449 | $449 | 4.8× |
| Nm csf leak detection (78650) | $4,758 | $4,758 | 3.4× |
| Nm myocard infarct spect (78469) | $4,758 | $4,758 | 8.2× |
| Nonvascular Shunt X-Ray (75809) | $694 | $694 | 6.2× |
| Parathyroid Planar Imaging (78070) | $1,534 | $1,534 | 3.6× |
| Pelvis 1 or 2 views (72170) | $629 | $629 | 5.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,656 | $1,656 | 3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $629 | $629 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,192 | $2,192 | 3.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $493 | $493 | 5.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $493 | $493 | 5.3× |
| Radex elbow complete minimum 3 views (73080) | $493 | $493 | 5.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $694 | $694 | 6.2× |
| Radex fingr minimum 2 views (73140) | $493 | $493 | 5.3× |
| Radex foot complete minimum 3 views (73630) | $493 | $493 | 5.3× |
| Radex Hand Minimum 3 Views (73130) | $493 | $493 | 5.3× |
| Radex lower extremity infant minimum 2 views (73592) | $449 | $449 | 4.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $629 | $629 | 5.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $493 | $493 | 5.3× |
| Radex Ribs Unilateral 2 Views (71100) | $493 | $493 | 5.3× |
| Radex shoulder complete minimum 2 views (73030) | $493 | $493 | 5.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $404 | $404 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $404 | $404 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) | $493 | $493 | 5.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $449 | $449 | 4.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$374–$493 | $374–$493 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $629 | $629 | 5.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $493 | $493 | 5.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $694 | $694 | 6.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $694 | $694 | 6.2× |
| Radiologic exam colon double contrast study (74280) | $1,125 | $1,125 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $922 | $922 | 4.9× |
| Radiologic exam knee complete 4/more views (73564) | $629 | $629 | 5.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $567 | $567 | 5.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,023 | $1,023 | 5.4× |
| Radiologic exam swallow function contrast study (74230) | $1,023 | $1,023 | 5.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,125 | $1,125 | 6.0× |
| Radiologic examination femur 1 view (73551) | $449 | $449 | 4.8× |
| Radiologic examination femur minimum 2 views (73552) | $493 | $493 | 5.3× |
| Radiologic examination knee 1/2 views (73560) | $493 | $493 | 5.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $567 | $567 | 5.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $449 | $449 | 4.8× |
| Ribs bilateral 3 views (71110) | $493 | $493 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,961–$4,545 | $1,961–$4,545 | varies |
| Scapula (73010) | $694 | $694 | 6.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$84–$170 | $84–$170 | varies |
| Sella turcica (70240) | $449 | $449 | 4.8× |
| Shoulder 1 view (73020) | $404 | $404 | 4.3× |
| Shoulder Arthrography (73040) | $1,928 | $1,928 | 5.2× |
| Skull less than 4 views (70250) | $694 | $694 | 6.2× |
| Sternoclavicular joints (71130) | $449 | $449 | 4.8× |
| Testicular Imaging W/Flow (78761) | $1,377 | $1,377 | 3.2× |
| Thoracic spine 2 views (72070) | $694 | $694 | 6.2× |
| Thoracic spine 3 views (72072) | $694 | $694 | 6.2× |
| Thoracolumbar 2 views (72080) | $493 | $493 | 5.3× |
| Thyroid Met Imaging Body (78018) | $1,766 | $1,766 | 3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,377 | $1,377 | 3.2× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$891–$931 | $891–$931 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,070 | $1,070 | 9.6× |
| Ultrasound, abdomen limited (76705) | $1,308 | $1,308 | 11.7× |
| Umbilical-artery Doppler (OB) (76820) | $1,308 | $1,308 | 11.7× |
| Upper gi w/o kub (74240) | $1,125 | $1,125 | 6.0× |
| Urethrocystogram voiding (74455) | $1,410 | $1,410 | 5.5× |
| Urethrocystography retrograde (74450) | $1,309 | $1,309 | 5.1× |
| Us breast unilateral complete (76641) | $1,308 | $1,308 | 11.7× |
| Us chest (76604) | $1,308 | $1,308 | 11.7× |
| Us complete joint (76881) | $1,308 | $1,308 | 11.7× |
| Us exam, pelvic, limited (76857) | $1,308 | $1,308 | 11.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$931–$1,308 | $931–$1,308 | varies |
| Us ob detailed single fetus (76811) | $1,016 | $1,016 | 4.0× |
| Us ob limited 1 or more fetuses (76815) | $1,308 | $1,308 | 11.7× |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$106–$1,308 | $106–$1,308 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$1,252–$1,308 | $1,252–$1,308 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,308 | $1,308 | 11.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $749 | $749 | 6.7× |
| Us retroperitoneal complete (76770) | $1,188 | $1,188 | 10.6× |
| Us retroperitoneal limited (76775) | $876 | $876 | 7.8× |
| Us scrotum and contents (76870) | $1,308 | $1,308 | 11.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,252–$1,308 | $1,252–$1,308 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$95–$1,308 | $95–$1,308 | varies |
| Wrist 2 views (73100) | $493 | $493 | 5.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $404 | $404 | 4.3× |
| X-ray antegrade pyelogram tube (74425) | $2,142 | $2,142 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $493 | $493 | 5.3× |
| X-Ray Exam Breast Specimen (76098) | $1,105 | $1,105 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $629 | $629 | 5.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $724 | $724 | 6.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $449 | $449 | 4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $449 | $449 | 4.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $629 | $629 | 5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $694 | $694 | 6.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $567 | $567 | 5.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $772 | $772 | 6.9× |
| X-Ray Exam L-S Spine Bending (72114) | $694 | $694 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $493 | $493 | 5.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $694 | $694 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $694 | $694 | 6.2× |
| X-ray eye for foreign body (70030) | $493 | $493 | 5.3× |
| X-ray humerus (73060) | $493 | $493 | 5.3× |
| X-ray IV pyelogram (ivp) (74400) | $1,125 | $1,125 | 6.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $493 | $493 | 5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $694 | $694 | 6.2× |
| X-ray nose-rectum child f.b. (76010) | $724 | $724 | 7.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $694 | $694 | 6.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $694 | $694 | 6.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $449 | $449 | 4.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $493 | $493 | 5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $567 | $567 | 5.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,142 | $2,142 | 5.7× |
| X-Rays Bone Length Studies (77073) | $694 | $694 | 6.2× |
| X-Rays Bone Survey Complete (77075) | $629 | $629 | 5.6× |
| Xr c-spine 4 or 5 views (72050) | $694 | $694 | 6.2× |
| Xr facial bones less than 3 views (70140) | $449 | $449 | 4.8× |
| Xr orbits complete 4 views (70200) | $629 | $629 | 5.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.